| NPI | 1033158670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G58853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G54853) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-11-26 |